Physician Compare National (NPI:1386859585)

HEALTHCARE PROVIDER: ARI SHYE ECKMAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386859585
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991882953
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101026001196
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ECKMAN
	Individual professional last name
Provider First Name	ARI
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	240 WILLIAMSON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 504
	Group Practice or individual's line 2 address
City	ELIZABETH
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	072023673
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9089945187
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310027
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRINITAS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y